Pharm - Drugs of Abuse Flashcards

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1
Q

compare tolerance, sensitization, and withdrawal

A

tolerance: decreased response to a drug, necessitating larger doses to achieve the same effects
sensitization: increased response with repetition of same dose of drug
withdrawal: adaptive changes that become fully apparent once drug exposure is terminated

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2
Q

list the criteria and examples for a schedule 1 drug

A

criteria: no medical use, high addiction potential
examples: heroin, LSD, MDMA, PCP, flunitrazepam

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3
Q

list the criteria and examples for a schedule 2 drug

A

criteria: medical use, high addiction potential
examples: amphetamines, cocaine, short acting barbiturates, strong opioids

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4
Q

list the criteria and examples for a schedule 3 drug

A

criteria: medical use, moderate abuse potential
examples: ketamine, moderate opioids, anabolic steroids, barbiturates, dronabinol

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5
Q

list the criteria and examples for a schedule 4 drug

A

criteria: medical use, low abuse potential
examples: benzos, most hypnotics, weak opioids, chloral hydrate

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6
Q

compare duration of symptoms between:

  • alcohol
  • tabacco
  • marijuana
  • inhalants
  • stimulants
  • depressants
  • hallucinogens
  • narcotics
  • PCP
A
  • alcohol: 1hr/serving
  • tabacco: 20 mins
  • marijuana: 2-4 hours
  • inhalants: 5 mins-8 hrs
  • stimulants: 5 mins-12 hrs
  • depressants: 1-16 hrs
  • hallucinogens: 5 mins-12 hrs
  • narcotics: 4-24 hrs
  • PCP: 4-6 hrs
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7
Q

compare “other” symptoms between:

  • alcohol
  • tabacco
  • marijuana
  • inhalants
  • stimulants
  • depressants
  • hallucinogens
  • narcotics
  • PCP
A
  • alcohol: odor on breath, slurred speech
  • tabacco: odor on breath, stained fingers/clothes
  • marijuana: red eyes, eyelid tremors, appetite
  • inhalants: odor, nausea, HA, disoriented
  • stimulants: jittery, talkative, runny nose
  • depressants: drowsy, slurred speech
  • hallucinogens: paranoia, memory loss
  • narcotics: euphoria, sleepy
  • PCP: confused, aggressive, sweaty
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8
Q

what are the overdose effects of amphetamines, methylphenidate, and cocaine

A
  • agitation
  • HTN
  • tachy
  • delusions
  • hallucinations
  • hyperthermia
  • seizures
  • death
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9
Q

what are the withdrawal effects of amphetamines, methylphenidate, and cocaine

A
  • apathy
  • irritability
  • increased sleep time
  • disorientation
  • depression
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10
Q

what are the overdose effects of barbiturates, benzos, and ethanol

A
  • slurred speech
  • drunken behavior
  • dilated pupils
  • weak and rapid pulse
  • clammy skin
  • shallow breathing
  • coma, death
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11
Q

what are the withdrawal effects of barbiturates, benzos, and ethanol

A
  • anxiety
  • insomnia
  • delirium
  • tremors
  • seizures
  • death
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12
Q

what are the OD effects of heroine and other strong opioids

A
  • constricted pupils
  • clammy skin
  • nausea
  • drowsiness
  • respiratory depression
  • coma, death
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13
Q

what are the withdrawal effects of heroine and other strong opioids

A
  • nausea
  • chills
  • cramps
  • lacrimation (flow of tears)
  • rhinorrhea
  • yawning
  • hyperpnea (increased depth and rate of breathing)
  • tremor
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14
Q

what is used to treat nicotine addiction

A
  • varenicline (chantix)
  • nicorette
  • nicoderm CQ
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15
Q

what opioid receptor antagonists are used to treat opioid dependence and addiction

A
  • naloxone (narcan)

- naltrexone

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16
Q

what synthetic opioid is used to treat opioid dependence and addiction

A

methadone

17
Q

what partial mu opioid receptor agonist is used to treat opioid dependence and addiction

A

buprenorphine

18
Q

what NMDA receptor antagonist is used to treat alcohol dependence and addiction

A

acamprosate

19
Q

long term effect of PCP use

A

may cause irreversible schizophrenia-like psychosis

20
Q

long term effect of LSD use

A

may cause flashbacks of altered perception years after consumption

21
Q

uses for caffeine other than improvement of mental alertness

A
  • treating migraines
  • preventing and treating headaches after epidural anesthesia
  • asthma
  • ADHD
  • memory
22
Q

what is considered a “drink” and what is excessive drinking

A
  • 12 oz beer
  • 8 oz malt liquor
  • 5 oz wine
  • 1.5 oz 80 proof

women: 8+/week
men: 15+/week

23
Q

how long does it take to metabolize alcohol

A

one hour per 1 oz

24
Q

describe the metabolism of alcohol

A

ethanol –(alcohol dehydrogenase)–> acetaldehyde –(acetylaldehyde dehydrogenase)–> acetate –> CO2, water, and energy

  • extensive first pass metabolism
  • zero-order kinetics
25
Q

describe the ethanol and methanol biotransformation pathway

A

both are broken down by alcohol dehdyrogenase

  • ethanol –> acetylaldehyde
  • methanol –> formaldehyde

both are then broken down again by aldehyde dehydrogenase

  • acetylaldehyde –> acetate
  • formaldehyde –> formic acid
26
Q

treatment/management for acute alcohol intoxication

A
  • monitor respiratory depression and aspiration of vomit
  • glucose to tx hypoglycemia and ketosis
  • thiamine
27
Q

treatment/management for acute alcohol withdrawal

A
  • prevent seizures, delirium, arrhythmias

- benzos

28
Q

treatment/management for alcohol dependence

A
  • psychosocial therapy
29
Q

drugs for treatment of acute alcohol withdrawal syndrome

A
  • diazepam
  • lorazepam
  • oxazepam
  • thiamine
30
Q

drugs for prevention of alcohol abuse

A
  • acamprosate
  • disulfiram
  • naltrexone
31
Q

drugs for treatment of acute methanol or ethylene glycol poisoning

A
  • ethanol

- fomepizole

32
Q

MOA naltrexone

A

mu opioid receptor antagonist

33
Q

MOA acamprosate

A

NMDA receptor antagonist and GABA-A receptor agonist

34
Q

MOA disulfiram

A

irreversibly inhibits aldehyde dehydrogenase